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例1,男患儿,4岁。因下腹部持续性疼痛24小时伴发热7小时,以“急性阑尾炎并腹膜炎”于1989年9月5日住院。查体:T38.5℃,口腔粘膜未见异常斑疹,全腹压痛,以右下腹明显,反跳痛及肌紧张存在,肠鸣音减弱,实验室检查:WBC 20.5×10~9/L。术前诊断:“急性阑尾炎并腹膜炎”,急诊剖腹探查见腹腔脓汁较多,阑尾穿孔,与周围粘连,行阑尾切除,腹腔冲洗引流术。术后3天因出现粘连性肠梗阻再次
Example 1, male child, 4 years old. He was hospitalized on September 5, 1989 with “acute appendicitis and peritonitis” because of persistent pain in the lower abdomen for 24 hours with fever for 7 hours. Physical examination: T38.5°C, No abnormal rash on oral mucosa, Abdominal tenderness, Obvious on right lower abdomen, rebound tenderness and muscle tension, weakened bowel sounds, laboratory examination: WBC 20.5×10~9/L . Preoperative diagnosis: “acute appendicitis and peritonitis,” emergency abdominal exploratory see more abdominal pus, appendix perforation, and peripheral adhesions, appendectomy, abdominal irrigation and drainage. 3 days after the operation due to adhesive intestinal obstruction